Analysis Skills, Communication Skills, Data Entry, Documentation, English Language, Federal Laws and Regulations, Health Plan, Interpersonal Skills, Long-Term Care, Managed Care, Medicaid, Multilingual, Project/Program Management, Regulations, Spanish Language, State Laws and Regulations, Team Player, Transaction Processing/Management
information, please see: https://www.kansasworks.com/jobs/13549176
Through our dedicated associates, Conduent delivers mission-critical
services and solutions on behalf of Fortune 100 companies and over 500
governments - creating exceptional outcomes for our clients and the
millions of people who count on them. You have an opportunity to
personally thrive, make a difference and be part of a culture where
individuality is noticed and valued every day.
Position is remote and individual must reside in Kansas
Hours:8 4:30 pm CST
Training length:approximately 10 weeks to include sandboxing
- Transaction Processing Associate III Bilingual - $17.75/hr
- Transaction Processing Associate III $17.25/hr
Job Description:
As part of the KanCare Clearinghouse Program, the Transaction Processing
Associate III (ES) will perform a variety of duties. The position is
responsible for gathering thorough documentation and entering
information into various systems
Essential duties may include, but are not limited to:
- Analyze the initial applications and reviews (for Family Medical
programs) and supporting documentation provided by applicants to
determine eligibility for federal and state medical assistance.
Investigate the applicant circumstances thorough the use of
available computer systems (Databases, registries, and informational
deposits) researching records provided by the applicant and their
contacts to provide the information about the household income,
resources, and expenses upon which the eligibility determination is
made.
- Entering household information and authorizing eligibility within
the Kansas Economic and Enforcement System (KEES). Professional
completes determinations using State and Federal regulations to
determine eligibility for medical benefits based on financial and
non-financial criteria. Document the eligibility decision in the
electronic case journal and send appropriate system-based and manual
correspondence to customers and representatives explaining the
results of the eligibility determination and information regarding
appeal rights.
- Eligibility Professional may be required to make outbound calls,
based on established policy, to verify or obtain missing information
when documentation is incomplete and the information can be resolved
via telephone contact.
- Eligibility Professionals are expected to use knowledge of State
eligibility processes, policies, and procedures governing managed
care enrollment to communicate with consumers regarding a variety of
issues.
- Attend training as assigned to develop and enhance current
understanding of Kansas Medicaid eligibility programs. Through
training and experience, develop expertise in additional areas of
determination categories.
- Maintain with up-to-date knowledge of regulations, policies, and
guidelines.
Preferred Skills or Knowledge:
- Knowledge of Medicaid and managed care programs
- Minimum of two (2) years experience in determining Long-Term Care,
Elderly and Disabled, or Family Medical eligibility
- Successfully complete KDHE Eligibility Training and sandboxing
- Ability to manage competing priorities
- Demonstrated critical thinking skills
- Must possess good interpersonal and communication skills both
verbally and in writing including knowledge of basic grammar,
spelling & punctuation
- Willingness to work as part of a team
- Maintain the integrity and confidentiality of all records and
communications
- All other duties as assigned.
- Bilingual Spanish/English with the ability to speak and read both
languages fluently.
Minimum Qualifications/Experience
- High School diploma or GED equivalent; post-secondary education
p eferred
- Strong computer skills with the ability to maneuver in complex
software systems
- Requires excellent data entry skills the ability to type 28-30
minutes per minute accurately
- MS Office, Outlook, and Internet usage experience
Pay Transparency Laws in some locations require disclosure of
compensation and/or benefits-related information. For this position,
actual salaries will vary and may be above or below the range based on
various factors including but not limited to location, experience, and
performance. In addition to base pay, this position, based on business
need, may be eligible for a bonus or incentive. In addition, Conduent
provides a variety of benefits to employees including health insurance
coverage, voluntary dental and vision programs, life and disability
insurance, a retirement savings plan, paid holidays, and paid time off
(PTO) or vacat
C
Conduent
Conduent is the world's largest provider of diversified business process services with leading capabilities in digital processing, automation and analytics.
500 to 999 employees
Business Services - Other